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PROVIDER PROFILE · NPI 1043251655

James NicholsonM.D.

Orthopedic SurgeryEast Setauket, NYI
CROSS-REFERENCE

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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

CCN 337147
Home health agency
CCN 337232
Home health agency
CCN 337260
Home health agency
CCN 330246
Hospital
CCN 330393
Hospital
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
2,595
Unique beneficiaries
—
Total services
4,919
Distinct HCPCS
12
Medicare payment
$654K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 1,320 Orthopedic Surgery providers in NY — top quintile (cohort median 1,129).
REFERRAL NETWORK

Where James Nicholson's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 29 inbound referrers · 66 outbound destinations.

Receives referrals from
Inbound — who sends patients here
PhysicianPatientsVisits
Mingqian Huang
Diagnostic Radiology · Stony Brook, NY
165449
Grace Grandville
Physician Assistant · E. Setauket, NY
111298
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
85420
Stephen Vlay
Clinical Cardiac Electrophysiology · East Setauket, NY
68192
William Lawson
Interventional Cardiology · Islandia, NY
65223
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
63181
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
50164
Syed Azim
Anesthesiology · Stony Brook, NY
4164
ST. CHARLES HOSPITAL3684
Kavitha Yaddanapudi
Diagnostic Radiology · Tucson, AZ
3575
JOHN T. MATHER MEMORIAL HOSPITAL3583
Jeffrey Muhlrad
Orthopedic Surgery · East Setauket, NY
3472
Refers patients to
Outbound — where patients go next
PhysicianPatientsVisits
UNIVERSITY HOSPITAL AT STONY BROOK6632,072
Elaine Gould
Diagnostic Radiology · Stony Brook, NY
234540
Kavitha Yaddanapudi
Diagnostic Radiology · Tucson, AZ
100227
Quest Diagnostics Clinical Laboratories Inc
Clinical Laboratory · Melville, NY
81303
Syed Azim
Anesthesiology · Stony Brook, NY
72202
Stephen Vlay
Clinical Cardiac Electrophysiology · East Setauket, NY
65148
Nicholas Kolanko
Diagnostic Radiology · Ann Arbor, MI
62130
Mark Schweitzer
Diagnostic Radiology · Detroit, MI
60112
Sunrise Medical Laboratories, Inc.
Clinical Laboratory · Hicksville, NY
55143
Laboratory Corporation Of America Holdings
Clinical Laboratory · Raritan, NJ
55189
Eric Feldmann
Diagnostic Radiology · Stony Brook, NY
53117
Grace Grandville
Physician Assistant · E. Setauket, NY
52105
Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.
PRESCRIBING · PART D · 2024
Total Rx claims
110
Beneficiaries
—
Total drug cost
$4K
Distinct drugs
3
Brand share
0.0%
Top prescribed drugs
Celecoxib69 claims
Amoxicillin27 claims
Oxycodone Hcl14 claims
QUALITY · MIPS · 2024
No data available for this provider in 2024.
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$903
Payment records
10
By payment type
Travel and Lodging$704
Food and Beverage$199